216430 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
`:.. ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $152.89
,
" !r.. INDIANAPOLIS IN 46278
CHECK NUMBER: 216430
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00871980 41 . 96 OTHER EXPENSES
601 5023990 00874456 12 . 62 MATERIALS & SUPPLIES
2201 4231100 08219378 87 . 80 BOTTLED GAS
601 5023990 08219766 10 . 51 CONT SERVICES OTHER
CYLINDER RENTAL INVOICE
ININANik INDIANA OXYGEN COMPANY I-CU S--TOME-R-;07 1111, PAGE:
P.O. BOX 78588 INVOICE: 0821.9378
INDIANAPOLIS,IN 46278-0588 INV-DATE_- 12/3-1/12
317-290-0003 SALESPERSON:O-00 TERR: 007
BRANCH 009
P/O:
I-TERMS:
B S
I T CARMEL STREET DEPT H CARYWI:i, T
S : E;
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L 3400 W 131ST ST 3900 W -13-l-S— S'P
L CARMEL IN 46074 CARME!I Ifr\l 96074
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INVOICE AMOUNT: 87-80 ]
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV BEGINNIM3
_ i ENr''�G FA
S Ffi � CYLINDER
0
�yp ITEM INVOICE DATE INVOICE BALANCE SHIPPED IRETURNF ) AjA, ' C y C NC�n S 3AUDAy —RATE. -
A
• ALY ACETYLENE 3 0 0 :3 1 0 93 .379 35.25
• ARG ARGON 2 1 11 2 1 31 .339 10. 51
• CO2 CARBON DIOXIDE 1 0 0 1 1 0 31 .339 10.51
• MIX MIX GAS[S 0 31 .339 10.51
• OXY OXYGEN 2 2 2 2 O� 62 .339 21 .02
TAX. .00
CARMEL STREET DEPT CUSTOMER: 07851. TOTAL 87 .80
3400 W 131ST ST INVOICE: 08219378
CARMEL IN 46074 INVOICE DATE: 12/31/1.2
TOTAL CYL VALUE: 2700. 00 P/o:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/31/12 08219378 $87.80
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$87.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 08219378 1 42-311.001 $87.80 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday; January 11, 2013
t
I /Z
S Street Commissioner
re i uommlcsloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Ty UNIT
!TE(vl-- QT.y 1-0 DESCRIPTION UOM AMOUNT
SHIP-D ERY110 --PR!CE -
Location: IS **
MIL300613 ll 0 21 1-CLAMP FOR ARCSTATTON RA 36.00 36.00
Subtotal. 36.00
V_LLlit us on fac book or oa the F re,i q h u 5.96
we at www.indianaoxygen. =
� Taxable amount:, 0.00–
CARMEL WATER CUSTOMER: 12598 AMOUNT 41.96
3450 W 131ST ST INVOICE: 008'71980 THIS INVOICE
INCLUDING TAX
CARMEL IN 46074-8267 INVOICEDATE: 1.2/20/1.2
ORDER: 01'721363-01. P/O:
INDIANA OXYGEN COMPANY P.O. BOX 78 588 0 INDIANAPOLIS, IN
iNy ITEM INVOICE DATE INVOICE BEGINNING SHIPPED 1RETURNFD FNDiNG ! 'EASED BAIJDAYS CYLINDER EXTENDED ,
yp BALANCE RAI ANCE CYLINDERS RATE AMOUNT
___-.---------
_-.__l._-. .. ._._ __-
R ALY ACETYLENE 1. 0 01 1. 0 .379 .00
R MIX MIX GASES 1 0 0 1 0 .339 .00
R NIT NITROGEN 1 0 0 1 0 31 .339 10.51
R OXY OXYGEN 1 0 0 1. I 1 0 .339 .00
R SHP SMALL HIGH PRESSURE 1- 0 0 0 .339 . 00
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TAX: .00
CARMEL WATER CUSTOMER: 125-98 TOTAL ® 10.51
3450 W 131ST ST INVOICE: 082/9766
CARMEL IN 46074-8267 INVOICE DATE: 12/31./1.2
TOTAL CYL VALUE: 1200. 00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 08219766 $10.51
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 123262 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON AC OLINT OF APPROPRIATION FOR
411"Iry Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
08219766 01-6360-03 $10.51
Voucher Total 5j t/7 $
Cost distribution ledger classification if
claim paid under vehicle highway fund
ITEM . I oTY oTY DESCRIPTION I UOM UNIT AMOUNT
al PRGE
** Location: A ** I
HAR3021120 1 0 SILVER STREAK PEN HOLDER I EA 7.93 7.93
I
SILVERSTREAK
HAR3021130 1 0 ROUND SILVER STREAK (6PK) TUBE EA 4.69 4.69
REFILLS SILVERSTREAK
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Subtotal 12.62 I
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Taxable amount: 10.00
CARMEL WATER CUSTOMER: 12598 • 12.62
3450 W 131ST ST INVOICE: 00874456 ,
CARMEL IN 46074-8267 INVOICE DATE: 01/03/13
ORDER: 0172671-6-00 P/O:
INDIANA OXYGEN COMPANY • P.O. PDX 8588-a :ii i IANAPOI:Zs IN 46-278-9588
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 1/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/2013 00874456 $12.62
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
43 /° - in^- -
Date Officer
VOUCHER # 123269 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
00874456 01-6200-06 $12.62
Voucher Total $12.62
Cost distribution ledger classification if
claim paid under vehicle highway fund